Bradley Joseph Henkenius, DDS

NPI #1134293632 in Flagstaff, Arizona

Provider Information

NPI Number: 1134293632
Entity Type: Individual
Name: Bradley Joseph Henkenius, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Nov 17, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 710 N BEAVER ST
Address 2: BLDG 1
City: Flagstaff
State: Arizona
ZIP Code: 86001-3100
Phone: (928) 774-0181

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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